认知行为疗法对下肢动脉硬化闭塞症患者介入术后焦虑、抑郁情绪的影响  

Effect of cognitive behavioral therapy on anxiety and depression in arteriosclerosis obliterans patients after interventional therapy

作　　者：王洋[1] 底瑞青[1] 周纪妹 张延藏 邢媛媛[1] 刘卫萍[1] WANG Yang;DI Ruiqing;ZHOU Jimei(The First Afjlliatecl Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院,郑州450052

出　　处：《国际精神病学杂志》2020年第5期1086-1088,共3页Journal Of International Psychiatry

摘　　要：目的评价认知行为疗法改善下肢动脉硬化闭塞症患者介入术后的焦虑、抑郁的效果。方法将我院收治的下肢动脉硬化闭塞症患者中选择78例作为对象,入组时间2018年11月~2020年2月。根据随机数表法分成对照组与研究组,每组39例。两组患者均接受介入术治疗,对照组术后常规护理,研究组术后配合认知行为疗法。对比观察两组患者的效果。结果(1)护理后,研究组SAS评分及SDS评分都低于对照组(P<0.05);(2)研究组健康知识认知评分各指标均高于对照组(P<0.05);(3)护理后,研究组内皮素(ET)水平低于对照组,氧化亚氮(NO)水平高于对照组(P<0.05);(4)研究组护理满意度高于对照组(P<0.05)。结论认知行为疗法可改善下肢动脉硬化闭塞症介入术后病人焦虑及抑郁情绪,作用显著,可推广。Objective To observe the effect of cognitive behavioral therapy on anxiety and depression in patients with arteriosclerosis obliterans after interventional therapy.Methods 78 patients with arteriosclerosis obliterans of lower extremities were selected as the subjects from November 2018 to February 2020.According to the method of random number table,78 patients were divided into control group and study group,39 cases in each group.All patients in the two groups were treated by interventional therapy,the patients in the control group received routine nursing,and the patients in the study group received cognitive behavioral therapy.The effect of the two groups was compared.Results(1)After nursing,the SAS and SDS scores of the study group were lower than those of the control group(P<0.05).(2)The cognitive scores of health knowledge of the study group were higher than those of the control group(P<0.05).(3)After nursing,the ET level of the study group was lower than that of the control group,and the NO level was higher than that of the control group(P<0.05).(4)The nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion The cognitive behavioral therapy can improve the anxiety and depression of patients with arteriosclerosis obliterans of lower extremities after interventional therapy.

关 键 词：认知行为疗法 下肢动脉硬化闭塞症 介入术 焦虑 抑郁 

分 类 号：R749.05[医药卫生—神经病学与精神病学]